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1225542558
CASEY DANIEL CLARK
MACON, GA
NPI
1225542558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN214247)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
CASEY DANIEL CLARK NP
230 SHERATON BLVD
MACON, GA 31210-1358
Phone number: 478-474-2947
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Mailing Address
CASEY DANIEL CLARK NP
230 SHERATON BLVD
MACON, GA 31210-1358
Phone number: 478-474-2947
Copy
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